How to pass AAPC CPC exam with the help of dumps?

Question # 1

A witness of a traffic accident called 911. An ambulance with emergency basic life supportarrived at the scene of the accident. The injured party was stabilized and taken to thehospital. What HCPCS Level II coding is reported for the ambulance's service?

A. A0426-QN-SH
B. A0429-QN-SH
C. A0427-QM-HS
D. A0428-QM-HS

Show Answer

Question # 2

According to the Application of Cast and Strapping CPT® guidelines, what is reportedwhen an orthopedic provider performs initial fracture care treatment for a closed scaphoidfracture of the wrist, applies a short arm cast, and the patient will be returning forsubsequent fracture care?

A. 25622
B. 29075
C. 25622, 29075
D. 29075-22

Show Answer

Question # 3

View MR 001394MR 001394Operative ReportProcedure: Excision of 11 cm back lesion with rotation flap repair.Preoperative Diagnosis: Basal cell carcinomaPostoperative Diagnosis: SameAnesthesia: 1% Xylocaine solution with epinephrine warmed and buffered and injectedslowly through a 30-gauge needle for the patient's comfort.Location: BackSize of Excision: 11 cm Estimated Blood Loss: MinimalComplications: NoneSpecimen: Sent to the lab in saline for frozen section margin control.Procedure: The patient was taken to our surgical suite, placed in a comfortable position,prepped and draped, and locally anesthetized in the usual sterile fashion. A #15 scalpelblade was used to excise the basal cell carcinoma plus a margin of normal skin in a circularfashion in the natural relaxed skin tension lines as much as possible The lesion wasremoved full thickness including epidermis, dermis, and partial thickness subcutaneoustissues. The wound was then spot electro desiccated for hemorrhage control. Thespecimen was sent to the lab on saline for frozen section.Rotation flap repair of defect created by foil thickness frozen section excision of basal cellcarcinoma of the back. We were able to devise a 12 sq cm flap and advance it usingrotation flap closure technique. This will prevent infection, dehiscence, and help reconstructthe area to approximate the situation as it was prior to surgical excision diminishing the riskof significant pain and distortion of the anatomy in the area. This was advanced medially toclose the defect with 5 0 Vicryl and 6-0 Prolene stitches.What CPT® coding is reported for this case?

A. 14001
B. 15271
C. 14001, 11606-51, 12034-51
D. 14001, 11606-51

Show Answer

Question # 4

A 45-year-old female presents to the ED with chest pain. The provider has an AlbuminCobalt Binding Test to determine if the chest pain is ischemic in nature.That lab test is reported?

A. 83857
B. 84134
C. 82043
D. 82045

Show Answer

Question # 5

A 5-year-old is brought to the QuickCare in the ED to repair two lacerations: a 3 cmlaceration on her right arm and 2 cm laceration on her nose. Her arm is repaired with asimple one-layer closure with sutures. Her nose is repaired with a simple repair usingtissue adhesive, 2-cyanoacrylate. How are the repairs reported?

A. 12013
B. 12032, 12041-59
C. 12002
D. 12002, 12011-59

Show Answer

Question # 6

View MR 003396MR 003396Operative ReportPreoperative Diagnosis: Acute MI, severe left main arteriosclerotic coronary artery diseasePostoperative Diagnosis: Acute MI, severe left main arteriosclerotic coronary artery diseaseProcedure Performed: Placement of an intra-aortic balloon pump (IABP) right commonfemoral arteryDescription of Procedure: Patient's right groin was prepped and draped in the usual sterilefashion. Right common femoral artery is found, and an incision is made over the arteryexposing it. The artery is opened transversely, and the tip of the balloon catheter wasplaced in the right common femoral artery. The balloon pump had good waveform. Theballoon pump catheter is secured to his skin after local anesthesia of 2 cc of 1% Xylocaineis used to numb the area. The balloon pump is secured with a 0-silk suture. The patient hassterile dressing placed. The patient tolerated the procedure. There were no complications.What CPT® coding is reported for this case?

A. 33975
B. 33967
C. 33970
D. 33973

Show Answer

Question # 7

A patient presents to the labor and delivery department for a planned cesarean section fortriplets. She is at 37 weeks gestation. She is given a continuous epidural for the delivery.What anesthesia coding is reported?

A. 01967, 01968
B. 01958
C. 01967
D. 01961

Show Answer

Question # 8

A Medicare patient is scheduled for a screening colonoscopy.What code is reported for Medicare?

A. G0106
B. G0121
C. 45378
D. G0105

Show Answer

Question # 9

Which one of the following is an example of a case in which a diabetes-related problemexists and the code for diabetes is never sequenced first?

A. If the patient has hyperglycemia that Is not responding to medication
B. If the patient has an underdose of insulin due to an insulin pump malfunction
C. If the patient is being treated for secondary diabetes
D. If the patient is being treated for type 2 diabetes

Show Answer

Question # 10

A 20-year-old female is being seen for the first time by a primary care physician to have ayearly physical. During the examination for the physical, the provider discovers noninflammedlesions on her legs and arms. The physician performs a complete physical andadditional separate documentation for the treatment of the lesions on the bilateral upperand lower extremities. The provider has the patient buy an over-the-counter ointment andwill continue to watch them.What CPT® coding is reported for this visit?

A. 99385
B. 99202
C. 99385-25, 99203
D. 99385, 99203-25

Show Answer

Question # 11

Which statement regarding lesion excision is TRUE?

A. Lesion excision codes include removal of a lesion, with margins, and simple(nonlayered) closure when performed
B. Lesion excision codes are selected by measuring the greatest clinical diameter of alesion excluding the margins required to complete the excision
C. Lesion excision codes include removal of a lesion, with margins, and intermediateclosure when performed
D. Lesion excision codes include removal of a lesion with margins, and complex closurewhen performed

Show Answer

Question # 12

View MR 005398MR 005398Operative ReportPreoperative Diagnosis: Nonfunctioning right kidney with ureteral stricture.Postoperative Diagnosis: Nonfunctioning right kidney with ureteral stricture.Procedure: Right nephrectomy with partial ureterectomy.Findings and Procedure: Under satisfactory general anesthesia, the patient was placed inthe right flank position. Right flank and abdomen were prepared and draped out of thesterile field. Skin incision was made between the 11th and 12th ribs laterally. The incisionwas carried down through the underlying subcutaneous tissues, muscles, and fascia. Theright retroperitoneal space was entered. Using blunt and sharp dissection, the right kidneywas freed circumferentially. The right artery, vein, and ureter were identified. The ureterwas dissected downward where it is completely obstructed in its distal extent. The ureterwas clipped and divided distally. The right renal artery was then isolated and dividedbetween 0 silk suture ligatures. The right renal vein was also ligated with suture ligaturesand 0 silk ties. The right kidney and ureter were then submitted for pathologic evaluation. The operative field was inspected, and there was no residual bleeding noted, and then itwas carefully irrigated with sterile water. Wound closure was then undertaken using 0 Vicrylfor the fascial layers, 0 Vicryl for the muscular layers, 2-0 chromic for subcutaneous tissue,and clips for the skin. A Penrose drain was brought out through the dependent aspect ofthe incision. The patient lost minimal blood and tolerated the procedure well.What CPT® coding is reported for this case?

A. 50234
B. 50220
C. 50230
D. 50240

Show Answer

Question # 13

A 65-year-old gentleman presents for refill of medications and follow-up for his chronicconditions. The patient indicates good medicine compliance. No new symptoms orcomplaints. Appropriate history and exam are obtained. Labs that were ordered from previous visitwere reviewed and discussed with patient. The following are the diagnoses and treatment:Hypokalemia - stable. Refill Potassium 20 MEQHypertension - blood pressure remaining stable. Patient states home readings have beenin line with goals. Refill prescription Lisinopril.Esophageal Reflux - Patient denies any new symptoms. Stable condition. Continue takingover the counter Prevacid oral capsules, 1 every day.Patient is instructed to follow up in 3 months. Labs will be obtained prior to visit.What CPT® code is reported?

A. 99212
B. 99396
C. 99397
D. 99214

Show Answer

Question # 14

A patient suffering from idiopathic dystonia is seen today and receives the followingBotulinum injections: three muscle injections in both upper extremities and seven injectionsin six paraspinal muscles.How are these injections reported according to the CPT® guidelines?

A. 64644, 64647 x 7
B. 64642-50, 64643-50, 64647
C. 64642, 64643, 64647
D. 64642 x 3, 64642 x 3, 64647 x 7

Show Answer

Question # 15

A patient is diagnosed with sepsis and associated acute respiratory failure.What ICD-10-CM code selection is reported?

A. A41.9, R65.20, J96.00
B. A41.9
C. A41.9, R65.21, J96.00
D. A41.9, J96.00

Show Answer

Question # 16

A surgeon removes the right and left fallopian tubes and the left ovary via an abdominalincision. How is this reported?

A. 58720
B. 58700
C. 58720-50
D. 58700-50

Show Answer

Question # 17

Mr. Woolridge has had a suspicious lesion on his left shoulder for approximately eightweeks that is not healing. On the dermatologist's exam of left shoulder blade, there isexcoriation and scabbing and the lesion not healing. Patient agrees and wishes to proceedwith a punch biopsy of the lesion. A punch biopsy is taken of the lesion and sent topathology. A simple repair is performed at the biopsy site.What CPT® and ICD-10-CM codes are reported?

A. 11102, 12001-51, D49.2
B. 11102, L98.9
C. 11104, D49.2
D. 11104,12001-51, L98.9

Show Answer

Question # 18

A 65-year-old man had a right axillary block by the anesthesiologist. When the arm wastotally numb, the arm was prepped and draped, and the surgeon performed tendon repairsof the right first, second, and third fingers. The anesthesiologist monitored the patientthroughout the case.What anesthesia code is reported?

A. 01830
B. 01820
C. 01810
D. 01840

Show Answer

Question # 19

A patient presents with recurrent spontaneous episodes of dizziness of unclear etiology.Caloric vestibular testing is performed irrigating both ears with warm and cold water whileevaluating the patient’s eye movements. There is a total of three irrigations.What CPT® coding is reported?

A. 92537-52
B. 92537-50-52
C. 92538-50
D. 92537-50

Show Answer

Question # 20

A 42-year-old male is diagnosed with a left renal mass. Patient is placed under generalanesthesia and in prone position. A periumbilical incision is made and a trocar inserted. Alaparoscope is inserted and advanced to the operative site. The left kidney is removed,along with part of the left ureter. What CPT® code is reported for this procedure?

A. 50220
B. 50548
C. 50543
D. 50546

Show Answer

Question # 21

A catheter was placed into the abdominal aorta via the right common femoral arteryaccess. An abdominal aortography was performed. The right and left renal artery wereadequately visualized. The catheter was used to selectively catheterize the right and leftrenal artery. Selective right and left renal angiography were then performed, demonstratinga widely patent right and left renal artery.What CPT® coding is reported?

A. 36251
B. 36252
C. 36253, 75625-26
D. 36252, 75625-26

Show Answer

Question # 22

The outermost protective layer of skin is called the:

A. Epidermis
B. Hypodermis
C. Subcutaneous tissue
D. Dermis

Show Answer

Question # 23

A couple presents to the freestanding fertility clinic to start in vitro fertilization. Underradiologic guidance, an aspiration needle is inserted (by aid of a superimposed guidingline)puncturing the ovary and preovulatory follicle and withdrawing fluid from the folliclecontaining the egg.What is the correct CPT® code for this procedure?

A. 58976
B. 58974
C. 58999
D. 58970

Show Answer

Question # 24

A 44-year-old female patient with chest pains had a CT of her chest that identified a massin her left lower lung. The patient currently has ovarian cancer with metastases to the liver.The radiologist suspects the cancer has spread to her lungs. The physician performed an outpatient bronchoscopic biopsy and the pathology report documents the mass as a tumorof uncertain behavior.What ICD-10-CM codes are reported for this patient?

A. R91.8, C56.9, C78.7
B. C56.9, C78.7, C78.02
C. C78.02, C22.9, C79.82
D. D38.1, C56.9, C78.7

Show Answer

Question # 25

A woman at 36-weeks gestation goes into labor with twins. Fetus 1 is an oblique position,and the decision is made to perform a cesarean section to deliver the twins.Theobstetrician who delivered the twins, provided the antepartum care, and will provide thepostpartum care.What CPT® coding is reported for the twin delivery?

A. 59510, 59515
B. 59510 x 2
C. 59510, 59514, 59515
D. 59510

Show Answer

Question # 26

The human shoulder is made of which three bones?

A. Olecranon, radius, ulna
B. Carpal, radius, humerus
C. Metatarsal, tibia, navicular
D. Clavicle, scapula, humerus

Show Answer

Question # 27

A patient with three thyroid nodules is seen for an FNA biopsy. Using ultrasonic guidance,the provider inserts a 25-gauge needle into each nodule. Nodular tissue is aspirated andsent to pathology.What CPT® coding reported?

A. 10005, 10006 x 2, 76942
B. 10006 x 3
C. 10005, 10006 x 2
D. 10021, 10004 x 2, 76942

Show Answer

Question # 28

An established patient suffering from migraines without aura, no mention of intractablemigraine, and no mention of status migrainosus, is seen by his ophthalmologistwhoconducts a visual field examination of both eyes. The examination was accomplishedplotting four isopters utilizing the Goldmann perimeter testing method. The patient andrequesting physician receive the interpretation and report on the same date of service.What procedure and diagnosis codes are reported for this encounter?

A. 92082, G43.009
B. 92082, G43.019
C. 92081, G43.009
D. 92083, G43.019

Show Answer

Question # 29

Eric is buying his first life insurance policy from XYZ Life Insurance Company. Thecompany requires Eric have a physical exam prior to issuance of the policy. Eric sees hisprimary care provider who completes the required documentation and forms provided bythe insurance company.How does the primary care provider report his services?

A. 99499
B. 99455
C. 99456
D. 99450

Show Answer

Question # 30

View MR 099407MR 099407Emergency Department VisitChief Complaint: VOMITING.This started just prior to arrival and is still present. He has had nausea and vomiting. Nodiarrhea, black stools, bloody stools or abdominal pain. Pt is diabetic and has been havingelevated blood sugars (320 mg/dL). REVIEW OF SYSTEMS: Unobtainable due to patient's altered mental status.PAST HISTORY: Poorly controlled diabetes mellitus, with history of poor compliance.Medications: See Nurses Notes.Allergies: PCN.SOCIAL HISTORY: Nonsmoker. No alcohol use or drug use.ADDITIONAL NOTES: The nursing notes have been reviewed.PHYSICAL EXAMAppearance: Lethargic. Patient in mild distress.Vital Signs: Have been reviewed-tachycardic.Eyes: Pupils equal, round and reactive to light.ENT: Dry mucous membranes present.Neck: Normal inspection. Neck supple.CVS: Tachycardia. Heart sounds normal. Pulses normal.E D. Course: Insulin IV drip per protocol, at 10 units/hr.Zofran 8 mg 01:33 Jul 13 2008 IVP.Phenergan 25 mg IVP. 07:52.Discussed case with physician. Dr. X. Reviewed test results.Agreed upon treatment plan. Physician will see patient in hospital.Total critical care time: 45 min.Disposition: Admitted to Intensive Care Unit. Condition: stable.Admit decision based on need for monitoring and IV hydration and medications.CLINICAL IMPRESSION: Vomiting, diabetic ketoacidosis, probable diabetes insipidus.What E/M code is reported for this encounter?

A. 99291
B. 99291, 99292
C. 99222
D. 99285

Show Answer

Question # 31

A complete cardiac MRI for morphology and function without contrast, followed by contrastwith four additional sequences and stress imaging, is performed on a patient with systolicleft ventricular congestive heart failure and premature ventricular contractions.What CPT® and ICD-10-CM codes are reported?

A. 75557, 75559, I50.1, I49.1
B. 75561, 75563, I50.1, I49.1
C. 75563, I50.20, I49.3
D. 75559, I50.20, I49.3

Show Answer

Question # 32

The procedure is performed at an outpatient radiology department. From a left femoralaccess, the catheter is placed in the abdominal aorta and is then selectively placed in theceliac trunk and manipulated up into the common hepatic artery for an abdominalangiography. Dye is injected, and imaging is obtained. The provider performs thesupervision and interpretation.What CPT® codes are reported?

A. 36246, 75716-26
B. 36246, 75726-26
C. 36246, 75635-26
D. 36246, 75741-26

Show Answer

Question # 33

A 60-year-old male has three-vessel disease and supraventricular tachycardia which hasbeen refractory to other management. He previously had pacemaker placement andstenting of LAD coronary artery stenosis, which has failed to solve the problem. He willundergo CABG with autologous saphenous vein and an extensive modified MAZEprocedure to treat the tachycardia.He is brought to the cardiac OR and placed in the supine position on the OR table. He isprepped and draped, and adequate endotracheal anesthesia is assured. A mediansternotomy incision is made and cardiopulmonary bypass is initiated. The endoscope isused to harvest an adequate length of saphenous vein from his left leg. This is uneventfuland bleeding is easily controlled. The vein graft is prepared and cut to the appropriatelengths for anastomosis. Two bypasses are performed: one to the circumflex and anotherto the obtuse marginal. The left internal mammary is then freed up and it is anastomosed tothe ramus, the first diagonal, and the LAD. An extensive maze procedure is then performedand the patient is weaned from bypass. At this point, the sternum is closed with wires andthe skin is reapproximated with staples. The patient tolerated the procedure withoutdifficulty and was taken to the PACU.Choose the procedure codes for this surgery.

A. 33533, 33257, 33519, 33508
B. 33535, 33259, 33519, 33508
C. 33533, 33257-51, 33519-51, 33508-51
D. 33535, 33259 51, 33519-51, 33508-51

Show Answer

Question # 34

View MR 099401MR 099401Established Patient Office VisitChief Complaint: Patient presents with bilateral thyroid nodules.History of present illness: A 54-year-old patient is here for evaluation of bilateral thyroidnodules. Thyroid ultrasound was done last week which showed multiple thyroid masseslikely due to multinodular goiter. Patient stated that she can “feel" the nodules on the leftside of her thyroid. Patient denies difficulty swallowing and she denies unexplained weightloss or gain. Patient does have a family history of thyroid cancer in her maternalgrandmother. She gives no other problems at this time other than a palpable right-sidedthyroid mass.Review of Systems:Constitutional: Negative for chills, fever, and unexpected weight change.HENT: Negative for hearing loss, trouble swallowing and voice change.Gastrointestinal: Negative for abdominal distention, abdominal pain, anal bleeding, blood instool, constipation, diarrhea, nausea, rectal pain, and vomitingEndocrine: Negative for cold Intolerance and heat intolerance.Physical Exam:Vitals: BP: 140/72, Pulse: 96, Resp: 16, Temp: 97.6 °F (36.4 °C), Temporal SpO2: 97%Weight: 89.8 kg (198 lbs ), Height: 165.1 cm (65”)General Appearance: Alert, cooperative, in no acute distressHead: Normocephalic, without obvious abnormality, atraumaticThroat: No oral lesions, no thrush, oral mucosa moistNeck: No adenopathy, supple, trachea midline, thyromegaly is present, no carotid bruit, noJVDLungs: Clear to auscultation, respirations regular, even, and unlaboredHeart: Regular rhythm and normal rate, normal S1 and S2, no murmur, no gallop, no rub,no clickLymph nodes: No palpable adenopathyASSESSMENT/PLAN: 1) Multinodular goiter - the patient will have a percutaneous biopsy performed (minorprocedure).What E/M code is reported for this encounter?

A. 99212
B. 99214
C. 99213
D. 99215

Show Answer

Question # 35

A patient who has colon adenocarcinoma undergoes a laparoscopic partial colectomy. Thesurgeon removes the proximal colon and terminal ileum and reconnects the cut ends of thedistal ileum and remaining colon.What procedure and diagnosis codes are reported?

A. 44204, C18.2
B. 44140, C18.9
C. 44205, C18.9
D. 44160, C18.2

Show Answer

Question # 36

A business requires drug testing for cocaine and methamphetamines prior to hiring a jobcandidate. A single analysis with direct optical observation is performed, followed by aconfirmation for cocaine.Which codes are used for reporting the testing and confirmation?

A. 80305 x 2, 80353
B. 80306 x 2, 80353
C. 80305, 80353
D. 80306, 80375

Show Answer

Question # 37

View MR 007400MR 007400Radiology ReportPatient: J. Lowe Date of Service: 06/10/XXAge: 45MR#: 4589799Account #: 3216770Location: ABC Imaging CenterStudy: Mammogram bilateral screening, all views, producing direct digital imageReason: ScreenBilateral digital mammography with computer-aided detection (CAD)No previous mammograms are available for comparison.Clinical history: The patient has a positive family history (mother and sister) of breastcancer.Mammogram was read with the assistance of GE iCAD (computerized diagnostic) system.Findings: No dominant speculated mass or suspicious area of clustered pleomorphicmicrocalcifications is apparent Skin and nipples are seen to be normal. The axilla areunremarkable. What CPT® coding is reported for this case?

A. 77067-50, Z80.3, Z12.31
B. 77066, Z80.3, Z12.31
C. 77067, Z12.31, Z80.3
D. 77066-50, Z12.31, Z80.3

Show Answer

Question # 38

A 3-day-old died in her sleep. The pediatrician determined this was the result of crib deathsyndrome. The parents give permission to refer the newborn for a necropsy. The pathologist receives the newborn with her brain and performs a gross and microscopicexamination. The physician issues the findings and reports they are consistent with anormal female newborn.What CPT® code is reported?

A. 88028
B. 88012
C. 88029
D. 88014

Show Answer

Question # 39

View MR 004397MR 004397Operative ReportPreoperative Diagnosis: Calculi of the gallbladderPostoperative Diagnosis: Calculi of the gallbladder, chronic cholecystitisProcedure: CholecystectomyIndications: The patient is a 50-year-old woman who has a history of RUQ pain, whichultrasound revealed to be multiple gallstones. She presents for removal of her gallbladder.Procedure: The patient was brought to the OR and prepped and draped in a normal sterilefashion. After adequate general endotracheal anesthesia was obtained, a trocar wasplaced and C02 was insufflated into the abdomen until an adequate pneumoperitoneumwas achieved. A laparoscope was placed at the umbilicus and the gallbladder and liver bedwere visualized. The gallbladder was enlarged and thickened, and there was evidence ofchronic inflammatory changes. Two additional ports were placed and graspers were usedto free the gallbladder from the liver bed with a combination of sharp dissection andelectrocautery. Cystic artery and duct are clipped. Dye is injected in the gallbladder.Cholangiography revealed no intraluminal defect or obstruction. Gallbladder is dissectedfrom the liver bed. The scope and trocars are removed.What CPT® coding is reported for this case?

A. 47562, 74300-26
B. 47563, 74300-26
C. 47605, 74300-26
D. 47600, 74300-26

Show Answer